Understanding the Emotional Struggles of Solitude: Is It a Mental Disorder?
When a person experiences significant distress while being alone, it may be associated with conditions such as social anxiety disorder, depression, or avoidant personality disorder? I am currently taking antidepressants for anxiety disorder. As a university student, I have just s...
Dr. Huang Xiaoxian Reply:
Dear dandkoesi, thank you for your question. You mentioned that you are currently undergoing medication treatment for anxiety and that you often feel down and gloomy when alone. From a psychological perspective, most people desire to establish good relationships with others. I&#x...[Read More] Understanding the Emotional Struggles of Solitude: Is It a Mental Disorder?
Understanding Physical Symptoms of Anxiety Disorders: A Patient's Journey
Physical discomfort associated with anxiety disorders? Hello Doctor, I have been taking antidepressants and sleeping pills for three years. Currently, I am experiencing symptoms such as neck muscle stiffness, shoulder and neck pain, back pain with chest tightness, hoarseness and ...
Dr. Huang Xiaoxian Reply:
Dear Mr. You, Regarding your inquiry, it sounds like you are troubled by shoulder and neck pain along with anxiety and depression. Many of the symptoms you mentioned can indeed be explained by anxiety disorders. If there has been no improvement, I recommend discussing medication...[Read More] Understanding Physical Symptoms of Anxiety Disorders: A Patient's Journey
Understanding Numbness and Anxiety: Is Your Condition Psychological?
It is common to experience numbness or tingling in the hands and feet? Doctor, I have been experiencing frequent numbness and pain in my hands and feet, and sometimes my face also feels numb. Occasionally, I suddenly feel very anxious with a rapid heartbeat. After resting for a n...
Dr. Wu Enliang Reply:
Hello, netizen: If it is confirmed that there are bone spurs on the cervical spine, then it is not caused by anxiety disorder. May I ask if the physician has conducted any examinations to confirm the diagnosis? It is advisable to go to a major hospital for a thorough examination ...[Read More] Understanding Numbness and Anxiety: Is Your Condition Psychological?
Finding the Right Mirtazapine Dosage for Anxiety and Depression
The dosage adjustment of mirtazapine? Hello, doctor. I have been taking mirtazapine 30mg for three months due to anxiety disorder. Although my condition has improved somewhat (for example, I used to constantly feel like I had bumped into someone and would go back to check, or I w...
Dr. Wu Enliang Reply:
Hello, netizen: If you are taking Mirtazapine and cannot tolerate the weight gain side effect, you may consider switching to another medication. Generally, long-term use of antidepressants does not lead to severe side effects. As for when to discontinue medication, it varies from...[Read More] Finding the Right Mirtazapine Dosage for Anxiety and Depression
Understanding Anxiety: Overcoming Nausea and Avoidance Behavior
Anxiety disorder. Frequently feels nauseous and has the urge to vomit? I tend to be easily anxious, feeling uncomfortable when going out, taking public transportation, traveling, or during exams. I often feel down and worry about many small details, fearing discomfort while outsi...
Dr. Tang Jiahong Reply:
Hello. When experiencing symptoms of nausea and the urge to vomit, it is typically recommended to first consult a gastroenterologist to rule out any gastrointestinal issues. If no problems are found, then it may be considered that the symptoms could be related to a psychological ...[Read More] Understanding Anxiety: Overcoming Nausea and Avoidance Behavior
Understanding Breathing OCD: Impact on Heart Health and Longevity
Respiratory Compulsion Disorder Hello Dr. Huang: I have been suffering from obsessive-compulsive breathing for about 20 years, and I have developed a habit of controlling my breathing. This condition has led to elevated blood pressure and palpitations (my heartbeat feels very str...
Dr. Huang Xiaoxian Reply:
Dear Xiao Xiang, It sounds like your symptoms are more indicative of hyperventilation syndrome. Generally speaking, this phenomenon is more closely related to anxiety disorders, meaning that the root cause often stems from a tendency to be anxious. I recommend that you seek an ...[Read More] Understanding Breathing OCD: Impact on Heart Health and Longevity
Understanding the Struggle: Navigating Depression and Identity Crisis
I don't know who I am? Hello Doctor, I have been diagnosed with depression and generalized anxiety disorder. During my appointments, I often mention to my doctor that I feel like there are two versions of myself inside my body, but the doctor seems to dismiss it. For example...
Dr. Huang Xiaoxian Reply:
Dear Little Raindrop: Hello, thank you for your question. The voices you mentioned, along with the thoughts from different aspects of yourself, may require further clarification regarding their origins. Various situations can lead to the aforementioned experiences. From a psychol...[Read More] Understanding the Struggle: Navigating Depression and Identity Crisis
Unusual Sensation in Esophagus: Is It a Psychological Issue?
Dysphagia or abnormal sensation in the esophagus? Hello Doctor: I recently underwent an endoscopy due to gastroesophageal reflux disease (GERD), and the outpatient physician stated that my esophagus, stomach, and duodenum are all normal, indicating non-erosive reflux disease. My ...
Dr. Huang Xiaoxian Reply:
Dear Mr. Zhang, The activity of the gastrointestinal tract is indeed often influenced by emotions. According to research, Gastroesophageal Reflux Disease (GERD) frequently co-occurs with anxiety disorders. Therefore, some cases may experience significant difficulty swallowing o...[Read More] Unusual Sensation in Esophagus: Is It a Psychological Issue?
Managing Anxiety and Panic: A Medical Student's Guide to Coping Strategies
Anxiety Panic Disorder Hello Dr. Huang, I am a medical student preparing for the national exam, but I have been experiencing various health issues. Every time I see a doctor, I feel very anxious, and after researching my conditions, I become even more pessimistic. My anxiety ofte...
Dr. Huang Xiaoxian Reply:
Dear Wemin, Thank you for your question. From your description, it sounds like the anxiety symptoms have been quite distressing for you, and I empathize with your situation. Additionally, the multiple physical symptoms you mentioned seem to resemble common manifestations of anx...[Read More] Managing Anxiety and Panic: A Medical Student's Guide to Coping Strategies
Overcoming Anxiety-Induced Frequent Urination: A Guide to Relief
Anxiety and tension? Frequent urination at specific times during the day due to mental stress can be challenging to manage. In general, I do not experience frequent urination during normal daily activities or at night. However, I start to feel anxious when I need to go out, espec...
Dr. Huang Xiaoxian Reply:
Dear Chen, Thank you for your question. Physiologically, the bladder is composed of multiple layers of smooth muscle. As the volume of urine increases, these layers of smooth muscle slide against each other to enhance the overall capacity of the bladder. This is why many people...[Read More] Overcoming Anxiety-Induced Frequent Urination: A Guide to Relief
Is It Delusion? Understanding Anxiety and Intrusive Thoughts
Is it a delusion? Hello, doctor. I have been suffering from generalized anxiety disorder for a long time, and for the past two years, my biggest worry has been whether I might develop schizophrenia. I constantly worry about this, so I often search online for information about the...
Dr. Lin Mianzhang Reply:
Hello, based on your description, it seems possible that you are experiencing symptoms of obsessive thinking. However, whether it is obsessive-compulsive disorder (OCD) requires a comprehensive evaluation of other factors, such as any underlying physiological issues or effects fr...[Read More] Is It Delusion? Understanding Anxiety and Intrusive Thoughts
Do I Really Need Medication for Anxiety? Understanding Your Diagnosis
Is it really necessary to take medication? Hello, doctor. I recently visited a psychiatrist because I often worry excessively about small things. The doctor diagnosed me with anxiety disorder and prescribed Mirtazapine (30mg), instructing me to take 15mg before bed. On the first ...
Dr. Huang Xiaoxian Reply:
Dear King, thank you for your question. You mentioned that many things make you feel worried. Based on the physician's assessment, you have been diagnosed with anxiety disorder, and the medication prescribed to you is related to the serotonin reuptake mechanism. In simple te...[Read More] Do I Really Need Medication for Anxiety? Understanding Your Diagnosis
Struggling with Insomnia and Autonomic Nervous System Disorders
Insomnia, autonomic nervous system dysfunction? Hello Doctor: I have had trouble sleeping since middle school, and it has become increasingly difficult now that I am in college. At night, my body tends to twitch while I sleep. In September, I experienced a whole night of insomnia...
Dr. Li Zhengfeng Reply:
Hello: The causes of insomnia can be categorized into three main types: 1. Caused by mental disorders, 2. Caused by physical illnesses, 3. Due to individual constitution. For insomnia caused by mental disorders, both pharmacological and non-pharmacological treatments can be utili...[Read More] Struggling with Insomnia and Autonomic Nervous System Disorders
Understanding Family Dynamics: Is Hatred Towards In-Laws Normal?
How to get along? It is not uncommon for individuals to experience negative feelings towards family members due to interpersonal dynamics, such as disagreements or differing opinions during discussions. This reaction can stem from various factors, including stress, anxiety, or fe...
Dr. Wu Enliang Reply:
Hello Ms. Lin, it is common for family members to have differing opinions, especially during recent election periods when many households experience arguments due to supporting different candidates. However, don't forget to reconcile in the end; this cannot be classified as ...[Read More] Understanding Family Dynamics: Is Hatred Towards In-Laws Normal?
Understanding Social Anxiety: Signs, Symptoms, and Seeking Help
Social Anxiety Disorder I think I have social anxiety disorder. It's difficult for me to integrate into new environments, and I fear talking to strangers (especially men). For example, when I want to go to a breakfast place I've never been to, I have to mentally prepare...
Dr. Liu Shikai Reply:
Hello, Xiao You: Your anxiety has significantly impacted your daily functioning. It is recommended that you be accompanied by a parent to seek evaluation at a psychiatric or psychosomatic clinic. In Taiwan, medical care is covered by health insurance, so unless you are opting for...[Read More] Understanding Social Anxiety: Signs, Symptoms, and Seeking Help
Overcoming Health Anxiety: Strategies for Managing Obsessive Thoughts
Please help me, doctor? Hello, doctor. I would like to ask if health anxiety is a form of obsessive thinking. A few years ago, I started experiencing excessive worry about my health. For example, if my heart rate increases slightly, I check my blood pressure. My blood pressure ha...
Dr. Wang Yazhen Reply:
Dear Wendy, Health anxiety is an anxious response that generally reflects a feeling of losing control over potential issues, leading to repetitive checking behaviors to reduce worry and increase a sense of control. However, when it becomes excessive, it can interfere with daily...[Read More] Overcoming Health Anxiety: Strategies for Managing Obsessive Thoughts
Medication and Food Interactions for Panic Disorder Treatment
Medication and Food Consultation Hello doctor, I started experiencing panic disorder in May of last year and only began treatment at the psychosomatic clinic in March of this year. The doctor prescribed me one tablet of Anxiol and half a tablet of Muxin in the morning. Can I eat ...
Dr. Qiu Junda Reply:
Hello. Eating grapefruit is generally associated with antihypertensive and lipid-lowering medications. Taking one tablet of Anxiolytic and half a tablet of Mucilaginous should not pose any issues with grapefruit consumption. Drinking black tea is also fine. However, if there are ...[Read More] Medication and Food Interactions for Panic Disorder Treatment
Managing Anxiety and Gastrointestinal Issues: When to Seek Help
Anxiety and restlessness? Hello Doctor: I have been experiencing stomach discomfort and pain since June 24. During this period, I visited the hospital multiple times, but my symptoms did not improve. The doctors believed that an endoscopy was not necessary. I have been feeling em...
Dr. Huang Jiabin Reply:
Hello: Sometimes gastrointestinal issues are caused by stress, so a psychosomatic specialist can address the root problems, which may gradually improve gastrointestinal issues. Bupropion itself can also cause extrapyramidal symptoms (depending on individual tolerance, some people...[Read More] Managing Anxiety and Gastrointestinal Issues: When to Seek Help
Overcoming Social Anxiety and Career Uncertainty: A Journey to Self-Discovery
Social anxiety and unemployment with no clear future? I have been very introverted since childhood and have never dared to initiate conversations with others. Throughout my school years, my teachers consistently commented that I was not good at expressing myself. More than one te...
Dr. Wu Enliang Reply:
Hello, Nobody. Thank you for taking the time to write. You have truly faced many hardships over the years, and your situation is indeed very challenging. I will address your questions one by one: (1) Due to previous unpleasant experiences seeking help, I am actually very afraid ...[Read More] Overcoming Social Anxiety and Career Uncertainty: A Journey to Self-Discovery
Understanding Withdrawal Symptoms from Psychiatric Medications
Medication withdrawal side effects? For the past 2 to 3 months, I have been struggling with anxiety disorder, which has led to insomnia. I often lie in bed until dawn without being able to sleep, or I have very short sleep durations. Initially, I consulted a psychiatrist, but I w...
Dr. Liang Sunyuan Reply:
Hello: The side effects of medication usually disappear within two to three days after discontinuation. If symptoms persist, it is more likely that the underlying anxiety or depression has not improved. It is recommended to take a multifaceted approach, including maintaining a re...[Read More] Understanding Withdrawal Symptoms from Psychiatric Medications